Chronic Obstructive Pulmonary Disease in Older Patients

Abstract

Chronic obstructive pulmonary disease (COPD) is a common disorder in patients over the age of 35 who have an associated risk factor (generally smoking) and characteristic respiratory symptoms. It has been projected to become the third leading cause of death worldwide by 2020.' Here, we summarise the current approach to diagnosis of COPD and management of the acute and chronic phases, including recent changes in guidance from the National Institute for Health and Clinical Excellence. Publication of a National Strategy for COPD is expected later this year.